Aesthetic and Functional Outcomes of Using Dorsal Reverse Adipofascial Flap for Fingertip Reconstruction

Abstract

Background:

The fingertip is essential to normal hand function, it is the most distal part of upper extremity with which we probe our environment. Fingertip injury is the most common soft tissue injury of the hand accounting for 45% of all hand injuries. Many surgical techniques are used for reconstruction.

Aim of study:

In this study we adopted using dorsal reverse adipofascial flap to treat fingertip injuries with exposed bones and evaluating the aesthetic and functional outcomes.

Patients and methods:

Ten patients with fingertip injuries were reconstructing by dorsal reverse adipofascial flap without using skin graft but with preservation of the germinal matrix. Conducted at AL- Shaheed ghazi AL-Hariri hospital and AL-Wasity teaching hospital.

Results:

All the patients were satisfied regarding the functional and aesthetic outcomes of the involved fingers. Apart from two patients who develops hyperesthesia during follow up periods.

Conclusion:

The dorsal reversed adipofascial flap with preserving germinal matrix and without skin grafting is reliable and durable over time with acceptable appearance.